The Clinic Manager will supervise the patient reception and enrollment workflow ensuring that the Patient Enrollment Specialist team receive and coordinate the intake, admission, and follow up appointments of Cove patients. Coordinate the completion of patient admissions and scheduling follow up appointments by collaborating with and scheduling on behalf of the clinical and medical teams. Ensure that Cove patients and guests receive excellent customer service and patient services to include professional reception, engagement, accurate demographic and financial data collection and entry, fee collection, enrollment in and linkage to relevant services, scheduling, and general administrative tasks such as filing, scanning, answering.
SCOPE OF WORK
The duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position.
Facilitate cross-training of all Patient Enrollment Specialists.
Assist with the development and maintenance of training manuals and standard operating procedures regarding patient enrollment services.
Coordinate Patient Enrollment Specialist schedules at all departments with assistance and input from appropriate Program Managers to ensure coverage for all hours of operation.
Ensure that front desk teams at each location and department are trained to complete the following: greeting patients and visitors, collection of fees, identification and insurance verification, answering phones, providing program information, and directing to appropriate resources.
Work with Finance department to ensure that all patients are accurately assigned to relevant funding sources based on eligibility and available resources.
Ensure that team is trained to;
i) collect and deposit patient fees and
ii) accurately assign payments to and update patient balances
iii) generate patient invoices as needed
Meet with patients to address and problem solve insurance claim, outstanding balance or funding eligibility issues.
Process authorizations and pre-authorizations based on patient eligibility to support continuous patient enrollment in treatment and successful billing.
Generate patient invoices and review balances to ensure that payments are received and processed in a timely manner and funding sources changed as needed.
Update patient financial, and demographic data in EHR based on continuous screening of government issued identification and insurance card verification at follow up appointments or other patient contact.
Process incoming and outgoing mail, notifying staff about mail arrival as appropriate.
Maintain front office appearance, bulletins, and supplies, coordinate ordering of additional materials as necessary.
Prepare and maintain various tracking logs to audit for patient data accuracy, funding enrollment, insurance eligibility and balance management and report same to program directors and finance department representatives.
Prepare and submit various weekly insurance eligibility reports as required by program and funder and report same to Revenue Cycle Manager and other designated finance department representatives.
Coordinate patient scheduling for COVE providers based on patient eligibility to receive services and review patient's eligibility before care is received.
Process intake for new patients to include entry of demographic information into EHR, obtaining medical records, signing consents, collecting and verifying income, subsidy, and insurance eligibility, and directing to additional resources as necessary.
Complete patient enrollment in various supportive services to include, but not be limited to: insurance and healthcare enrollment, insurance-based transportation benefits, voter's registration, etc.
Facilitate and maintain Medicaid and Hillsborough County Health Plan insurance eligibility, verifications, pre-certifications, and authorizations.
Collect, track, and process co-pays and money transactions for patient payments, complete fee agreements, reconcile patient accounts and fees, and facilitate financial drops.
Create relevant admission, screening, and discharge notes in the EHR.
Sustain a positive, caring, supportive, and recovery-oriented environment.
Ability to read and interpret reports and documents. Ability to respond to inquiries or complaints. Ability to write and conform to prescribed style and format. Ability to follow an extensive variety of instructions and deal with several pre-determined variables. Knowledge of MS Office (Word, Excel, and Outlook) and various computer applications required. Ability to lead team and communicate concerns
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Health Care Provider
Industries
Mental Health Care
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